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813 - 780 -0020 City of Zephyrhills Permit Application , L Fax -813- 780 -0021 <br /> Building Department - 7 96 9 <br /> Date Received * 5- 2- Phone Contact for Permitting -- <br /> 11111iiiiiiiiiliiul K <br /> Owner's Name f R 4/ LG) S "v0 , I / 2 -EA Owner Phone Number S'1 3 L. .2`1 - Lip y / <br /> Owner's Address 717`/ / 8 Th S / Ze 11 r s �', is ra 33 59 2 - Owner Phone Number <br /> Fee Simple Titleholder Name Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS 50 j g f FS r '' S / 2 G p �+ j r - �, ! �S i ) 1 3; "3._/Z.- LOT # 1© j 3 <br /> SUBDIVISION PARCEL ID# 1/ i 0 0. /0 -- a l d / 06 - 0/ 0 0 <br /> (OBTAINED FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED NEW CONSTR ADD /ALT V I SIGN 1 1 MOVE n DEMOLISH <br /> INSTALL REPAIR <br /> PROPOSED USE Ega SFR COMM n OTHER I <br /> TYPE OF CONSTRUCTION [I BLOCK FRAME 1 1 STEEL n OTHER I <br /> uxirado_ �1'.n1 K ` Z5 <br /> DESCRIPTION OF WORK . A , ■ it , ii .4°0A , !L . - _ . 4 O L A ;E. A <br /> BUILDING SIZE SQ FOOTAGE HEIGHT <br /> I I BUILDING $ VALUATION OF TOTAL CONSTRUCTION <br /> 1 )( ELECTRICAL $ ^ � AMP SERVICE 1 I PROGRESS ENERGY W.R.E.0 <br /> / <br /> I X l PLUMBING $ � L <br /> 9 j 60 <br /> iOf f <br /> I MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> I GAS I I ROOFING I 1 SPECIALTY I I OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 I YES I <br /> BUILDER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y 1 N I <br /> Address I License # <br /> ELECTRICIA di COMPANY 13 0-yilULt gie41114.$0107 ) ')t <br /> SIGNATURE � REGISTERED ' Y / N I FEE CURRENT Y / N <br /> Address O L,✓p - 10 J 1.Sr!� License # 1E7 <br /> SIGNATURE ti/ -�.� <br /> r` , ` ,r1 <br /> PLUMBER 1 � COMPANY C I61("'? W 1 t`\Ct_ . •'r t(. <br /> S ���JJJ - � REGISTERED N FEE CURRE Q � N <br /> Address [ ; 0. ctok Z._isn FL S% 1 License # C R., I (- 135t#Q <br /> MECHANICAL COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address I License # <br /> OTHER COMPANY <br /> SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I <br /> Address License # I <br /> RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects <br /> COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction. <br /> Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, <br /> Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance <br /> SIGN PERMIT Attach (2) sets of Engineered Plans. <br /> * ** *PROPERTY SURVEY required for all NEW construction. <br /> Directions: <br /> Fill out application completely. <br /> Owner & Contractor sign back of application, notarized <br /> If over $2500, a Notice of Commencement is required. (NC upgrades over $5000) <br /> ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs Sewers Service Upgrades A/C Fences (Plot/Survey /Footage) <br /> Driveways -Not over Counter if on public roadways..needs ROW <br />